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This is a prospective, assessor-blinded, randomized controlled study designed to evaluate whether large language model (LLM)-assisted decision support can improve village doctors' abilities in the comprehensive management of patients with type 2 diabetes mellitus and hypertension.
For each standardized clinical case, two village doctors will independently review the same patient information and develop management plans. An independent statistician will randomly assign one doctor to receive LLM-assisted decision support, while the other will complete the assessment without assistance. All management plans and questionnaire responses will be de-identified and evaluated by an independent expert panel blinded to group allocation. The study will compare the quality of clinical decision-making, risk assessment, treatment recommendations, and follow-up planning between the LLM-assisted and control groups.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LLM-Assisted Group | Experimental |
| |
| Control Group | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LLM | Other | Village doctors receive large language model (LLM)-assisted decision support when assessing standardized patient cases and developing management plans. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of case assessments in which the LLM-assisted management plan is preferred over the non-assisted management plan according to a blinded expert preference assessment form | Blinded endocrinology experts will independently compare paired management plans using a standardized Expert Preference Assessment Form. For each case, experts will classify the paired plans as "LLM-assisted preferred," "No meaningful difference," or "Non-assisted preferred." The primary outcome is the percentage of non-tied case assessments in which the LLM-assisted management plan is preferred. | Immediately after completion of case assessment |
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Inclusion Criteria:
Exclusion Criteria:
None.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Zhang; Q Zhang | Contact | 89890300 | 18061986120@189.cn |
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| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| D006973 | Hypertension |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| D004700 | Endocrine System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |